Employment Application Form 2017-08-03T11:08:13+00:00

Samaritan House, as an equal opportunity employer, complies with all applicable federal and state laws regarding
nondiscrimination. Samaritan House is committed to a policy of equal opportunity for all persons and does not
discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity,
gender expression, disability, religion, or veteran status in employment, services, and volunteer opportunities.

TYPE OF SCHOOL NAME OF SCHOOL LOCATION(Complete mailing address) NUMBER OF YEARS COMPLETED MAJOR & DEGREE
High School
College
Bus. or Trade School
Professional School